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Note 14 - Goodwill and Intangible Assets, Net (Details Textual) - USD ($)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Goodwill, Impairment Loss $ 13,895,000 $ 0
Amortization of Intangible Assets 1,337,000 $ 25,000
Pharmacy Operations [Member]    
Goodwill, Impairment Loss $ 13,900,000